Care Manager – LVN

🔥 il y a 23 heures

🇺🇸 États-Unis – Télétravail

💵 $34 - $55 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

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SCAN

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 1977

⚕️ Assurance santé

👥 B2C

Healthcare Insurance • B2C

SCAN est une organisation de santé axée sur la mission, dédiée à réinventer le vieillissement en fournissant des soins et des couvertures axés sur le patient et basés sur des preuves pour les personnes âgées. Elle exploite un portefeuille intégré comprenant des régimes d'assurance santé avec des avantages innovants, des soins primaires à domicile et virtuels, des programmes de soutien pour les aidants et les personnes âgées confinées à domicile, ainsi que des services spécialisés pour les populations vulnérables. SCAN investit également dans et s'associe à des entreprises qui font progresser les modèles de soins et les ressources pour aider les personnes âgées à rester en bonne santé et autonomes à domicile.

Description

• Serve as point person to speak with patients, family members, and providers to address concerns pertaining to care, transfers and authorizations • Ensure necessary inpatient and outpatient care or other services are rendered to SCAN members at the right time, the right level of care and at the right location, with end-to-end coordination, while adhering to all policies and procedures • Coordinate discharge needs from inpatient acute settings and skilled nursing facilities as appropriate for each member • Coordinate timely delivery of last cover day letters to skilled nursing facilities • Issue determinations within required regulatory timeframes • Apply evidenced-based criteria and guidelines, as well as clinical judgment and expertise, to help develop treatment plans • Review tasks assigned by Integrated Care Nurse Practitioners and coordinate member care accordingly • Review all acute/skilled nursing appeals and create detail explanation of non-coverage and reinstatement letters • Prepare, participate and facilitate high risk huddles and/or skilled nursing rounds • Maintain a list of high risk patients and conduct regular outreach calls to check on their health status • Develop effective working relationships and collaboration with Care Coordinators on clinical matters • Demonstrate excellent organizational, decision-making and multi-tasking skills as demonstrated by problem-solving and successful outcomes • Promote the mission, vision, and values of SCAN Health Plan and serve as an ambassador when interfacing and collaborating with external stakeholders

🎯 Exigences

• Associate's Degree or equivalent experience • 3-5 years of related experience • CA LVN license • Performs work under direct supervision • Handles basic issues and problems, and refers more complex issues to higher-level staff • Possesses beginning to working knowledge of subject matter • Provides leadership, coaching, and/or mentoring to partner care coordinators

🏖️ Avantages

• Annual bonus program • Robust Wellness Program • Generous paid-time-off (PTO) • Eleven paid holidays per year • One additional floating holiday • One birthday holiday • Excellent 401(k) Retirement Saving Plan with employer match and contribution • Robust employee recognition program • Tuition reimbursement